Individual provider

Susan Bardolph, MD

Internal Medicine Physician Hospitalist Physician Medicare enrolled

Susan Bardolph, MD is an Internal Medicine Physician in Oak Park, IL, registered under NPI 1740608058. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1121 SOUTH BLVD, Oak Park, IL 60302. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1121 SOUTH BLVD, Oak Park, IL 60302 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036.144202 IL Internal Medicine Physician primary
125065525 IL Internal Medicine Physician
036144202 IL Hospitalist Physician

This provider holds licence 036.144202 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Hospitalist
PAC ID
6305147042
Enrollment ID
I20171002001184

Medicare enrolment is recorded as approved under the provider type Practitioner - Hospitalist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Internal Medicine covers

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician 036.144202 IL primary
207R00000X Internal Medicine Physician 125065525 IL
208M00000X Hospitalist Physician 036144202 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1740608058 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 3, 2014
Last updatedAug 3, 2023
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1121 SOUTH BLVD
Oak Park, IL 60302
(708) 745-5744
Fax (630) 456-7486
Mailing address PO BOX 713260
Chicago, IL 60677
The last update on file is Aug 3, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1740608058 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 4 0 6 0 8 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 8 0 3 0 7 0 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1740608058?
NPI 1740608058 is the National Provider Identifier assigned to Susan Bardolph, MD in Oak Park, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive…
How do I contact Susan Bardolph, MD?
The phone number on file with NPPES is (708) 745-5744, last updated Aug 3, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Susan Bardolph, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1740608058 a valid number?
Yes. 1740608058 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.